The case count includes both confirmed and probable infections identified in the state as of April 19. The count marks a 33-case increase since April 5. Thirteen counties have been affected by the outbreak, with a vast majority of the cases reported in Spokane and King county.
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The mumps are a highly communicable disease characterized by painful, swollen salivary glands. Mumps is passed by person-to-person contact and often accompanied by initial symptoms such as fever, headache, muscle aches, tiredness and loss of appetite.
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